Pediatrics Practice Questions EXAM 1

Pediatrics Practice Questions EXAM 1 1. A nurse is conducting an admis- sion interview with the mother of a 2-year-old child. What history question is most important at this time? a. How many children are in the family? b. What is your child's normal routine? c. Does your child attend day- care? d. What toys are most important to your child? 2. A 9-month-old is sitting on his father's lap at the bedside. The nurse needs to do a shift assess- ment. How should the nurse pro- ceed? a. Ask the father to put the child in bed, and proceed with the exam. b. Talk with the father for a few minutes, before examining child. c. Listen to the heart and lungs of the child. d. Take the child from the father, and proceed with the exam. 3. Which nursing intervention best supports the concept of atrau- matic care for a hospitalized child? a. Allowing parents to visit once every shift. b. Encouraging six year old to be brave during an IV start. b. What is your child's normal routine? b. Talk with the father for a few minutes, before examining child. c. Allowing adolescent to keep the hospi- tal door shut. 2 / 23 c. Allowing adolescent to keep the hospital door shut. d. Asking parents of baby to wait outside treatment room door during spinal tap. 4. A six year old is in the recovery room following an appendectomy. He is not yet fully awake, though he opens his eyes when his name is called. Which pain assessment tool would be most effective for the nurse to use at this time? a. OUCHER assessment tool. b. Wong's FACES assessment tool. c. FLAACC pain assessment tool. d. 1-10 verbal assessment scale. 5. A nurse enters the room of an 8-year-old child newly admitted and diagnosed with type I diabetes. His mother is sitting in a chair at his bedside. What should the nurse do first? a. Go the bedside and meet the child. b. Stand by the door, and say "I am the assigned nurse today." c. Go over to the mother and ask what brought the child into the hospital today. d. Explain the use of the call light to child. c. FLAACC pain assessment tool. a. Go the bedside and meet the child. 6. 3 / 23 Which hospitalized child would the nurse be most worried about as needing support or follow-up? a. The 9-month-old that cries when the nurse walks in the room. b. The 2-year-old that holds still during an IV start. c. An adolescent that asks her fa- ther to leave the room during an assessment. d. A school-age child that angrily throws his food tray on the floor. 7. What nursing intervention would be most appropriate for a 10-year-old child with type I dia- betes in order to meet their needs (as described by Erikson). a. Explain carefully to the mother the need to rigidly adhere to di- etary modifications. b. Allow the child to eat whatever he or she wants and administer insulin to maintain optimum glu- cose levels. c. Allow the child to perform his or her own Accuchecks and ad- ministration of insulin. d. Perform Accuchecks four times a day and at bedtime. 8. A 16 year old female comes for a sport's physical in the clinic. During the nursing history, the teenage states she is bothered that she "towers over her com- b. The 2-year-old that holds still during an IV start. c. Allow the child to perform his or her own Accuchecks and administration of insulin.